Active NPI
Katie Love
- Occupational Therapist
- Cedartown, GA
National Provider Identifier
1790841104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT001499
- Practice address
- 119 E Girard Ave
Cedartown, GA 30125-2711 - Phone
- (770) 748-4411
- Fax
- (770) 748-9544
- NPI assigned
- Dec 29, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT001499 | GA | Primary |
Addresses
Primary practice location
119 E Girard Ave
Cedartown, GA 30125-2711
Mailing address
217 Walnut St
Cedartown, GA 30125-2527
Phone (770) 748-3338
Other practice location 1
212 W 3rd St SW
Rome, GA 30165-2802
Phone (706) 295-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT001499 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Ideas Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kidswork Children's Therapy Services
- Developmental Disabilities Clinic/Center
- Cedartown, GA
- NPI 1720144140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790841104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WALNUT ST",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252527",
"telephone_number": "770-748-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E GIRARD AVE",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252711",
"telephone_number": "770-748-4411",
"fax_number": "770-748-9544"
}
],
"practiceLocations": [
{
"address_1": "212 W 3rd St SW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301652802",
"country_code": "US",
"telephone_number": "706-295-4242",
"fax_number": "706-295-4260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "KATIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.